# CARESTAR HEALTH ASSOCIATES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376083907
- **Authorized official:** DR. PHILIP A. BANNOR MD (PHYSICIAN)
- **Authorized official phone:** (423) 760-8700

## Contact information

- **Practice address:** 6106 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2280
- **Practice address phone:** (423) 760-8700
- **Practice address fax:** (423) 760-8703
- **Mailing address:** 6106 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2280
- **Mailing address phone:** (423) 760-8700
- **Mailing address fax:** (423) 760-8703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 35052 | TN | — |
| 208VP0000X | Pain Medicine Physician | 35052 | TN | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017